Provider Demographics
NPI:1912027681
Name:DEFRANCESCO, AMY (OTR)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:
Last Name:DEFRANCESCO
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 GREENWICH ST
Mailing Address - Street 2:#2J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-3386
Mailing Address - Country:US
Mailing Address - Phone:917-846-8449
Mailing Address - Fax:
Practice Address - Street 1:311 GREENWICH ST
Practice Address - Street 2:#2J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-3386
Practice Address - Country:US
Practice Address - Phone:212-608-4264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8326-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist